Amy Elizabeth Bates, PHARMD, RPH
Individual provider Active NPI Pharmacist · Tombstone, AZ
NPI 1013342385 · NPPES record last updated Sep 5, 2013
Key facts
- NPI
- 1013342385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- S014859 (AZ)
- Practice address
- 524 Allen Street
Tombstone, AZ 85638 - Phone
- (520) 457-3543
- NPI assigned
- Sep 5, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S014859 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Territorial Drug Co Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S014859 | AZ | Yes |
Addresses
Primary practice location
524 Allen Street
Tombstone, AZ 85638
Mailing address
PO Box 1279
Tombstone, AZ 85638-1279
Phone (520) 457-3543
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S014859 | Other | AZ | PHARMACIST LICENSE |
Other providers in Tombstone, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.